Paediatrics and Child Health - Dunedin
Recent Deposits
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Vitamin D during pregnancy, lactation, and childhood: Vitamin D deficiency rickets in New Zealand children and Vitamin D supplementation during exclusive lactation to improve both infant and maternal 25 hydroxyvitamin D status
Background Vitamin D is essential for calcium homeostasis and mineralisation of the skeleton. Vitamin D deficiency during pregnancy, infancy and childhood is common, and severe deficiency can lead to rickets. Rickets is ... -
CYMRC 12th data report (2011-2015)
This is the 12th data report released for the Child and Youth Mortality Review Committee (the CYMRC). It predominantly reports on data from 2011 to 2015, with some tables and figures for 2002–15, and some for 1980–2015. ... -
I can see clearly now: Survey results from neonatal staff on mydriatic use in retinopathy or prematurity screening
Aims: Very preterm infants require mydriatic eye drops in preparation for retinopathy of prematurity examination. Mydriatic dosing needs to provide adequate pupil dilation for the examination and yet, avoid adverse ... -
Lack of evidence and consequential harm caused by mydriatic regimens used in retinopathy of prematurity screening.
Approximately 3,500 infants in New Zealand and Australia are screened annually for retinopathy of prematurity (ROP). To view the retina and diagnose ROP, adequate pupil dilation with mydriatic medicines is required. ... -
Mechanosensing in Bone
The human skeleton is continually remodelled to adapt to force under the influence of gravity. Disuse of the skeleton leads to osteopenia whereas increased use leads to bone accrual. The process, by which skeletal cells ... -
Assessing Learning, Breathing and Treatment of Respiratory Obstruction During Sleep in School Children: The ALBATROSS Study
Introduction: Children with enlarged tonsils and/or adenoids are at risk for sleep disordered breathing (SDB), a common disorder in childhood characterised by snoring, choking, and pauses in breathing during sleep. SDB has ... -
Declining Intramuscular Newborn Vitamin K Prophylaxis: An Exploration of Parental Decision Making and Influencing Factors
Objective Newborn infants are at risk of potentially life-threatening vitamin K deficiency bleeding. This is readily prevented with prophylactic vitamin K at birth. In New Zealand, the recommended route of prophylaxis ... -
The relationship of sleep consolidation with behaviour, cognition and sensory processing in toddlers
Purpose: The negative correlates of childhood sleep difficulties have been well documented. However, the effects of such problems on child development are still poorly understood. The aim of the current study was to assess ... -
Sleep Problems and Sleep Disordered Breathing in Children
Introduction. Sleep disturbances in children can result from extrinsic learned behaviours that become poor sleep habits, or they can arise from intrinsically caused disorders that may require medical treatment. Some sleep ... -
Variability in neonatal gentamicin administration influencing drug delivery kinetics
Introduction: Intravenous gentamicin is frequently prescribed for the empiric treatment of early-onset sepsis in premature neonates1. The effective delivery of gentamicin may be influenced by infusion rate and flush volume2. ... -
Mutations in the WNT mediator, DVL1, cause an osteosclerotic form of Robinow Syndrome
This project aimed to clinically and biochemically characterise a novel phenotype which we have named Robinow Syndrome – Osteosclerotic type (RS-OS). Robinow Syndrome (RS) is a rare form of mesomelic dwarfism defined by a ... -
Psychosocial determinants of glycaemic control in children and adolescents with Type One Diabetes Mellitus
Introduction Type 1 Diabetes Mellitus (T1DM) is a chronic life-long condition that commonly presents in children and adolescents. It is a condition that requires close monitoring, as poor management may lead to severe ... -
Early Life Risk Factors for Overweight and Obesity in Childhood
Background: Prevalence of childhood overweight and obesity has risen dramatically over the last few decades, suggesting a causative role for environmental factors, including activity, diet and eating behaviours. Objectives: ... -
Indicators for congenital anomalies in New Zealand
Congenital anomalies are amongst the leading causes of fetal and infant mortality and morbidity, yet are not consistently monitored within existing indicators used to assess the health and wellbeing of the New Zealand ... -
Sleep disordered breathing in young children: Natural history and relations to academic performance
Objective: The aims of this current study were to: (i) examine the natural history of snoring and other sleep disordered breathing (SDB) related symptoms from age 3 to 7 years; (ii) examine the concurrent relationship ... -
Physical activity in infancy: assessment of an intervention to increase physical activity in infants
Physical activity (PA) in infancy is an under researched area despite the known relevance of PA to health. This thesis combines three distinct studies to achieve a positive contribution to knowledge in the area of PA and ... -
Motivational Interviewing for Weight Feedback
Purpose: To determine whether the use of motivational interviewing (MI) to inform parents that their young child was overweight enhanced their engagement in a family-based intervention compared to feedback delivered via ... -
The Paediatric Outpatient Coding Pilot Study
In New Zealand, recent literature would suggest that children with chronic health conditions and disabilities, and their families are in need of greater support. The primary aims of this thesis were to; determine whether ...